Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 027977 | CT |
NPI | 1265519599 |
---|---|
Provider Name | Dr. George V. Tsimoyianis |
First Address | Darien, CT 06820-5237 |
Second Address | Darien, CT 06820-5237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 14/10/2011 |